305 coder professional jobs found

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Conduct a...

Certified Coder This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. This position is for a Certified Coder who will provide coding expertise and clinical support across a wide range of initiatives and processes. This role requires close collaboration with cross-functional teams to ensure alignment with both clinical and business objectives, while supporting the successful execution of projects. This position is full-time (40 hours/week), Monday - Friday. Employees must work an 8-hour shift...

Certified Professional Coder Think of yourself as someone who will provide world-class service to our customers or clients in an accurate, efficient, and respectful manner on every call as measured by different performance metrics, so not everyone can qualify for this role. We make sure we get the best of the best, after all, we are a ridiculously good company so we make sure our employees are top-notch. So come on, now we need your full concentration because it's time to imagine what it's like being a Certified Professional Coder. As a Certified Professional Coder you will... Audit charts to ensure accurate ICD-10 CM and CPT code assignment as well as documentation integrity to prevent claim denials. Use critical and logical thinking skills in chart-auditing based on the guidance set forth by the client. Uphold netiquette and professionalism in any interaction with the TaskUs team, other vendors and the client. Job Summary: The CPC will be responsible for reviewing...

Professional Coder II What we do here changes the world. UTHealth Houston is Texas' resource for healthcare education, innovation, scientific discovery, and excellence in patient care. That's where you come in. UTHealth is seeking Professional Coder II candidates to join its Revenue Cycle Charge Capture team. Responsibilities include coding and resolving edits for Diagnostic Imaging coding. Cardiology, radiology and cardiology coding experience, along with Epic proficiency, are preferred. Department: Revenue Cycle Status: Full-time Location: Remote (2 -4 weeks onsite for training @ 1851 Crosspoint Ave, 77054) Occasionally, onsite meetings/additional training, etc. Must live in Texas (TX) **We DO NOT provide lodging or mileage reimbursement for training** Once you join us you won't want to leave. It's because we reward our team for the excellent service they provide. Our total rewards package includes the benefits you'd expect from a top healthcare organization...

**Requisition number:** 2377170 **Job category:** Medical & Clinical Operations _This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges._ At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start **Caring. Connecting. Growing together.** As the organization accelerates its digital transformation, Benefit Digitization and AI 10.0 efforts are key to improving efficiency, enhancing member and provider experiences, and managing long term costs. To achieve these goals, dedicated roles are needed to design, implement, and manage the digital capabilities that support these initiatives. This...

Analyze patient charts, physician notes and discharge summaries Ensure documentation is complete and accurate before coding Translate diagnoses and procedures into standardized codes using: ICD-10-CM (diagnoses) CPT (procedures) HCPCS (supplies/services) Make sure codes correctly represent services provided Follow healthcare laws and regulations (HIPAA, Medicare/Medicaid guidelines) Company Policies Prevent coding errors that could lead to claim denials or audits Stay updated on coding changes and updates Work with billing teams to submit coded claims to insurance companies Verify claim accuracy to ensure proper reimbursement Fix rejected or denied claims by reviewing and correcting codes Communicate with healthcare providers and insurance companies Protect sensitive patient information Follow strict privacy and data security standards Clarify documentation with physicians when needed Collaborate with billing and administrative teams Regularly update knowledge of...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Conduct a...

Job Summary The Certified Professional Coder (CPC) will be responsible for reviewing medical records and determining compliant clinical documentation for supporting diagnostic and procedural codes related to outpatient behavioral health services. The candidate should have experience with medical coding in behavioral health and be knowledgeable about mental health diagnoses and treatments as well as the necessary documentation requirements. The CPC will work closely with the billing and administrative team to ensure accurate and timely submission of claims for behavioral health services and related documentation requests. About the Role Think of yourself as someone who will provide world‑class service to our customers or clients in an accurate, efficient, and respectful manner on every call as measured by different performance metrics. Duties and Responsibilities Review medical records and verify the documentation justifies the diagnostic and procedural codes (ICD‑10 CM and CPT...

Job Summary The Certified Professional Coder (CPC) will review medical records and determine compliant clinical documentation for diagnostic and procedural codes related to outpatient behavioral health services. The CPC will work closely with the billing and administrative team to ensure accurate and timely submission of claims for behavioral health services and to respond to documentation requests. Duties and Responsibilities Review medical records and verify that the documentation justifies the diagnostic and procedural codes (ICD-10 CM and CPT codes). Verify and abstract all medical data from patient records, including treatment plans, diagnoses, and procedures. Ensure compliance with coding guidelines and regulations, including HIPAA and CMS guidelines. Monitor and report on coding‑related trends and issues, and make recommendations for process improvements. Maintain up‑to‑date knowledge of coding guidelines and regulations, and attend continuing education courses as...

Medical Coder - Professional Fee (ProFee) | On-Site Healthcare Job in Dallas, TX Experienced ProFee Medical Coder needed for an on-site revenue cycle opportunity supporting outpatient and physician coding for a leading healthcare provider. If you have strong experience with Cath Lab and Cath/EP procedures, this medical coding job could be an excellent next step in your healthcare career. We are seeking an experienced Medical Coder with Professional Fee (ProFee) expertise for an on-site opportunity supporting revenue cycle operations. This role is ideal for a detail-oriented coding professional with strong knowledge of outpatient and physician-based coding, including Cath Lab and Cath/EP procedures. Located in Dallas, Texas in the 75246 area, this opportunity offers the advantages of working in a well-established healthcare hub with convenient access to a vibrant metropolitan setting, professional growth opportunities, and a dynamic clinical environment. If you are passionate...

Overview Employment Type: Full time Shift's Available: Days Hours: 8-hour days; 40/hours per week Location: Pampa Regional Medical Center - Rural Health Clinic Responsibilities The Biller is responsible for submitting claims to the appropriate intermediaries and to insure that procedures and charges are coded in compliance with all payers including Medi-Cal and/or Medicare regulations. Responsible for obtaining required authorizations necessary for the processing and payment of claims. The Biller is responsible for the follow-up and denial management as necessary for final resolution. Responsible to identify the various types of diagnosis and procedures codes (ICD10, CPT, HCPCS, DRG) as they relate to reimbursement. Communicates clearly and efficiently by phone and in person with clients and staff members. Maintains productivity standards and reports. Obtains updated demographic information and all necessary information needed to comply with the various Government Programs...

Where Compassion Meets Innovation And Technology And Our Employees Are Family Thank you for your interest in joining our team! Please review the job information below. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This job description is not intended to be all inclusive; employees will perform other reasonably related business duties as assigned by the immediate supervisor and/or hospital administration as required. Always maintains utmost level of confidentiality. Adheres to hospital policies and procedures. Demonstrates business practices and personal actions that are ethical and adhere to corporate compliance and integrity guidelines. Reviews the medical record and assigns the appropriate ICD and CPT...

Lead Coder page is loaded## Lead Coderlocations: Corpus Christi, TXtime type: Part timeposted on: Posted Yesterdayjob requisition id: JR111075# ****Where compassion meets innovation and technology and our employees are family.*****Thank you for your interest in joining our team! Please review the job information below.***General Purpose of Job:**Ensures that coding compliance initiatives are met with all record types. Reviews and analyzes medical records and abstracted data submitted by the coding staff to determine the accuracy of code assignment and adequacy of clinical documentation according to regulatory requirements. Performs frequent internal reviews and education maintenance long-term to ensure accuracy in the ever-changing environment of coding, documentation, quality initiatives, and impact to reimbursement. Can code, train, and educate on all types of outpatient medical records to provide timely coverage in all coding areas helping to ensure accuracy, stability, and...

Job Summary The Coder 2 is skilled in three or more types of outpatient, Profee, or low acuity inpatient coding. The Coder 2 may code low acuity inpatients, one-time ancillary/series, emergency department, observation, day surgery, and/or professional fee, including evaluation and management (E/M) coding or profee surgery. For professional fee coding, team members in this job code are proficient for inpatient and outpatient, for multi-specialties. Coder 2 uses the International Classification of Disease (ICD-10-CM, ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS), including Current Procedural Terminology (CPT), and other coding references. These references ensure accurate coding and grouping of classification assignments (e.g., MS-DRG, APR-DRG, APC, etc.). The Coder 2 will abstract and enter required data. Essential Functions Of The Role Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional...

El Paso Behavioral Health System is a private 167-bed psychiatric hospital located in El Paso, Texas, specializing in mental health and chemical dependency care. We provide inpatient, day hospital and outpatient services with evidence-based treatment. Under general supervision in Health Information Management, this role accurately assigns diagnostic codes in a timely manner, backs up tasks as needed, and supports the HIM Director. #J-18808-Ljbffr

Job Title The Coder 2 is skilled in three or more types of outpatient, Profee, or low acuity inpatient coding. The Coder 2 may code low acuity inpatients, one-time ancillary/series, emergency department, observation, day surgery, and/or professional fee, including evaluation and management (E/M) coding or profee surgery. For professional fee coding, team members in this job code are proficient for inpatient and outpatient, for multi-specialties. The Coder 2 uses the International Classification of Disease (ICD-10-CM, ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS), including Current Procedural Terminology (CPT), and other coding references. These references ensure accurate coding and grouping of classification assignments (e.g., MS-DRG, APR-DRG, APC, etc.). The Coder 2 will abstract and enter required data. Essential Functions of the Role Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and...

JOB SUMMARY Assign ICD-9-CM CPT4 diagnostic and procedural codes for diagnosis to records of hospice patients. Provides review and analysis as part of the hospice quality improvement programs, including various collection of data and infection prevention. JOB REQUIREMENTS Minimum Education Graduate of Accredited School of Nursing (LVN) Minimum Work Experience 1 year coding 5 years of nursing/experience Required Licenses/Certifications Current state license as an LVN Certified coding specialist must have any of the following certifications: CPC COC CIC COC-P CPC-A CCS Required Skills, Knowledge, and Abilities Compile and analyze reports Establish filing systems Input data into computer programs Maintain logs Research information Use computerized spreadsheets to conduct analysis

Medical Billing and Coder EL PASO, Texas Medical Billing and Coding Specialist $23.87 per hour Temporary 3 to 6 Months Job Summary: We are seeking a detail-oriented and dependable Medical Billing and Coding Specialist to join our team in a fast-paced healthcare environment. The ideal candidate will accurately assign medical codes, process insurance claims, and ensure timely reimbursement while maintaining compliance with all federal, state, and payer regulations. Key Responsibilities: Review patient medical records and assign accurate ICD-10-CM, CPT, and HCPCS codes. Prepare, submit, and follow up on insurance claims for timely reimbursement. Verify patient insurance eligibility and benefits. Resolve billing discrepancies, denied claims, and payment issues. Maintain accurate patient billing records and documentation. Communicate professionally with patients, insurance companies, and healthcare providers regarding billing inquiries. Ensure compliance with...

Job Description Under direct supervision, responsible for conducting review of inpatient and outpatient coding, assuring coding compliance with federal regulations, and maintains up-to-date coding guidelines and coding policy changes. Performs all tasks required to facilitate medical billing to include abstracting complex patient related data from medical records and coding of diagnoses and procedures using the ICD-10 and CPT classification systems. This position will be a hybrid position working remote and/or on campus. Candidate being considered would need to live within commuting distance of UT Health San Antonio. Upon hire candidate will be required to be onsite for orientation and training. Transition to remote work is contingent on meeting productivity and quality standards as determined by supervisor. Remote Coders may be required to occasionally attend on campus training and meetings. Responsibilities Reviews, interprets, and assigns diagnostic and procedural...

GENERAL SUMMARY OF DUTIES: Reviews medical records, codes patient charges, and processes in a timely manner, and assists various facility staff and physicians. Must be an effective communicator who can express himself/herself on a daily basis in a professional manner both verbally and in writing, as well as a proactive professional who can identify collection trends and solve them in a timely manner. SUPERVISION RECEIVED: Billing & Coding Supervisor Education/Experience Certified Professional Coding Certificate. Associate’s degree preferred or 5 years medical coding experience. Must have functional knowledge of medical terminology, anatomy, and physiology. Prior experience coding with ICD-10-CM. Knowledge Knowledge of clinic policies and procedures. Knowledge of pain management coding, and Spine procedure coding Knowledge of computer systems, programs, and spreadsheet applications. Knowledge of medical terminology. Knowledge of collection practices. Knowledge of...

Job Posting Calling all bill review professionals, CPC coders, AAPC, and DRG coders! Dane Street is looking for highly motivated coders, bill reviewers, and payment integrity reviewers candidates to join our team. Dane Street offers an exciting work environment, competitive compensation, and strong growth potential. Job Summary: A new program offering on the group health side of our business enables you to apply your clinical knowledge to review reports accompanying medical records to ensure that medical billing information and coding are correct. You will communicate with other reviewers and their office teams to ensure clarity of information and ensure all questions posed have been addressed, and ensure that reports are returned within client deadlines. Core Duties & Responsibilities: Evaluates the appropriateness of codes and determine whether they meet all established program standards. Ensures that the medical records are matched appropriately to the codes and if...

Join Our Caring Community Humana's Primary Care Organization is a leading senior-focused, value-based care provider with 400+ centers across 15 states under the CenterWell and Conviva brands. As an IPA Consultative Coder, you will collaborate with a multidisciplinary team to support the delivery of high-quality, cost-effective care in the communities we serve. In this role, you will work closely with providers and clinic teams to enhance documentation accuracy, identify opportunities for improvement, and reinforce coding and documentation best practices. This is a hybrid position that requires occasional travel within the assigned market. Responsibilities Deliver coding and documentation education to providers and clinic staff within IPA clinics. Be a consultative resource and ongoing support for providers in assigned clinics. Conduct documentation audits to identify gaps, trends, and opportunities for improvement. Perform quarterly chart reviews to support coding...

Medical AI Auditor We are building the future of clinical documentation, and we need your expert eye to keep it accurate, safe, and reliable. AI-generated medical notes are transforming healthcare by giving providers their time back, but AI needs human expertise to stay grounded. As a Medical AI Auditor, you won't be handling traditional billing and coding compliance. Instead, you will act as the ultimate clinical guardrailreviewing AI-generated behavioral health records to detect "hallucinations" (clinically inaccurate or unsupported content that looks plausible but is factually incorrect). If you are a detail-obsessed medical coder or clinical documentation specialist who loves the intersection of healthcare and technology, this is your sandbox. What You'll Do Detect & Correct: Audit AI-generated behavioral health notes against source session data, catching subtle clinical inaccuracies, unsupported inferences, or errors in medical terminology. Evaluate Note Structure:...

Surgery Partners, Inc. is seeking a certified professional coder to review medical records, code outpatient charts, and assist various facility staff and physicians. The role requires clear written and verbal communication, and proactive problem solving to identify collection trends and improve processes. The ideal candidate holds a CPC certification, an associate’s degree or equivalent experience, and strong knowledge of ICD-10-CM coding and medical terminology. #J-18808-Ljbffr